IP Indian Journal of Immunology and Respiratory Medicine


Tracheo-bronchial diverticulosis and bronchiectasis


Full Text PDF Share on Facebook Share on Twitter


Author Details: Vysakh V Kumar, S. Yuvarajan, TK Gangi Reddy, Antonious

Volume : 2

Issue : 1

Online ISSN : 2581-4222

Print ISSN : 2581-4214

Article First Page : 25

Article End Page : 27


Abstract

A 65-year-old male patient, ex-smoker, presented to pulmonary medicine OPD with complaints of cough with expectoration for 15 days. Patient was having similar complaints for past 10 years and was treated as a case of left lower lobe bronchiectasis. General examination– patient’s vitals were stable. On auscultation– coarse biphasic crepitations was heard in left mammary area and infra-axillary area. Chest X-ray was taken which showed cystic changes in left lower zone. In view of chest X-ray findings, CT scan was taken which showed features of tracheo -bronchial diverticulosis, with tracheal diameter of about 32mm X 28mm at widest point with chain of beads air collection seen posterior to the trachea and left main bronchi. Multiple cysts of varying size were seen in left lingular segment and lower lobe suggestive of bronchiectasis. Thus, presence of narrow stalks connecting the lesion with the posterior wall of the trachea and bronchi was helpful in our diagnosis. Bronchoscopy was performed which also showed multiple diverticulosis on posterior wall of trachea, left main bronchi and right middle lobe.

Keywords:
Bronchiectasis; Bronchoscopy; Computed tomography; Tracheal diverticulum